The findings are in keeping with a cecal volvulus causing of obstruction of the distal small bowel.

The patient went on to have a laparoscopy which confirmed a 'loop' type of cecal volvulus. The cecum was ischemic and didn't perfusion adequately upon reduction of the volvulus, so the surgeons performed a modified right hemicolectomy. The patient recovered well and was discharged within a week.